47 cases of microsurgery operating for the tumor of VIII nerve (acoustic neuroma)

ABSTRACT

47 studied cases aged from 18 to 75 years with a prevailing of women against men were diagnosed by CT-scanning and by MRI. The function of VIII nerve was assessed by clinical examination and by audiogramme. Tumors of VIII nerve occupied 8-10% of the total of intracerebral tumors and 70-80% of all cerebellous angle tumors. Microsurgery manifested good results for facial nerve function on 100% of small tumors, 40% of medium and 22.22% of large tumors. Functional hearing results were also evaluated with respect of the sizes of tumors. Complications of the surgery consisted mainly of cerebrospinal fluid leakage (2.12% of all patients). There were 8 cases of meningitis postoperatively, their 1 died. Complete resection of the tumor was accomplished on 63.8% of patients (consisting of 100% of small, 70% of medium and 61.1% of large tumors).